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Update on Medicare's rules and regulations
In the wake of the coronavirus pandemic, the rules and regulations governing telepsychiatry services have changed dramatically, the most radical of which is the introduction of a new waiver by the Centers for Medicare & Medicaid Services (CMS). Under the 1135 emergency waiver, Medicare has expande...
CMS proposes an expansion of the regulations related to exclusion from the Medicare program. The proposed rule would allow CMS to revoke a provider’s or supplier’s Medicare enrollment if convicted of a federal or state misdemeanor within the previous 10 years. For exclusion to apply, CMS...
NCPA objects to cuts in payment for Medicare Part B drugsRecent Videos Related Content Roflumilast Foam Improves Symptoms of Scalp, Body Psoriasis Killian Meara May 8th 2025 Article The therapy is currently under FDA review and has a PDUFA action date of May 22, 2025. Demystifying PBMs, ...
The Centers for Medicare & Medicaid Services (CMS) released highly anticipated updates this month to the Medicare regulations interpreting the federal 60-day overpayment refund requirement (the Overpayment Statute).
The Centers for Medicare and Medicaid Services (CMS) released nearly 3,000 pages of regulations late Friday finalizing 2015 payment rates for various providers and services in the Medicare program, including physicians. The agency also revised the workings of several smaller quality initiatives ...
(CMS) continues to evaluate the future of these pandemic flexibilities as well as the advancement of other technology approaches in its annual Medicare rulemaking process. And while each new avenue for deploying technology in health care can add new value, it also comes with the potential...
When hospitals submit Medicare bad debt for reimbursement, they must demonstrate that the debt satisfies criteria set forth in regulations, including a requirement thatreasonable collection effortswere made. According to the Provider Reimbursement Manual (PRM) at § 310: “To be considered a reasonable...
the development and marketing of medicines has become regulated by complex sets of laws and controls that apply to a wide range of products. In previous segments of this course, we have briefly studied some of these regulations and their impacts on today’s pharmaceutical industry. However, the...